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EXXON L "I ANY, U.S.A. <br /> e <br /> P0 Box 4415, 1Iouston, I X 77210-441; <br /> INC0RP0Rh1E0CHAIN O CUSTODI' <br /> INE AssuAANC( OF CUAIITY Novato, CA, I I Dt ilil Drive, 94949 <br /> � Huntington Beach, CA, 5702 Bora Avenue, 42649 <br /> �! 415 883-6100 719 892.2565 <br /> Consultant's Name (� P* -✓}a nvl Page�L of <br /> Address 3468� Mf - kr,b ,Iland Site Location , +,c <br /> Pro ect # 9 ( mi%ultant Pru aril N �� 7 2 d <br /> Cx'x Consultant Work Rc.It.asi.b <br /> Pro ect Contact gr(Gtr, T'1m(h3 PhunL # I0) ---;?&!I <br /> �� Fax a �! LaboralorX Work Release rY <br /> EXXON Contact c11V /--•• {�}} EE [IC&M Plione, p C��� — 776 F,,x a EXXON RAS N 9f 2- <br /> Sampled b ( nnt �1h wdAvt,l 911r4r -R WU C' t Sam ILr"S St nalut-L il U(1— <br /> Shi cnt Method GC&,-r(C&,-r( Ali 8111 b —Thiint.nt Date, <br /> m �j <br /> TAT 1-124 hr ❑ 4$ hr El72 hr 5landard (5 day) ANALYSIS REQUIRED <br /> Simpli.. Candido as Rc.ke.tytd <br /> Temperalun.° c1p <br /> o Cookr b �Y,r <br /> Inbound Seal Ye.s No <br /> Outbound Seal Yes No <br /> Sample Description, Collection Matrix MV //or PACE < � 0 - 00 Q �. <br /> Date/Time 5oillWaur Cont Sample p = ¢ = Q a < 1I J COMMEN 1 S <br /> aa. as wa <br /> F- to Uj F- w <br /> 114 W--0 <br /> ZS- 5-1/1 �4 0t i oc r� <br /> MW-13 3z s-3 l l 04o X ' <br /> Swl- <br /> S kpl- 4s---46' 1140 JMAI > <br /> W 2- 4 o-41.SI loq4& 1,- <br /> I <br /> iOlt) � <br /> G�/4"SGiD I"l 4 , X <br /> I <br /> R <br /> elploishied bylAfftliation Dqc Time AcqptLd by/Affil iat D to Time Additional Comments <br /> r �J] <br /> ' <br /> i <br /> 3 -r <br /> Di,Inbution T/(0 White-Onginal Yellow- Exxon Pink-L-ab Goldenrod Consultant Field Staff <br />